Drug-Related Disorders and the Criminal and Clinical Background of the Prison Population of Sao Paulo State, Brazil

Author(s)

dos Santos, Maira Mendes ^{[1, 2]} ; Quintana, Maria Ines ^[1] ; Moreira, Fernanda Goncalves ^[1] ; Vernet Taborda, Jose Geraldo ^[3] ; Mari, Jair de Jesus ^[1] ; Andreoli, Sergio Baxter ^{[1, 2]}

Affiliation

^[1] Univ Fed Sao Paulo, Dept Psychiat, Sao Paulo - Brazil

^[2] Univ Catolica Santos, Program Publ Hlth, Sao Paulo - Brazil

^[3] Univ Fed Rio Grande do Sul, Dept Clin Med, Porto Alegre, RS - Brazil

• Document type: Journal article
• Source: PLoS One; v. 9, n. 11 NOV 19 2014.
• Web of Science Citations: 5

Abstract

Objective: To analyze the association between drug (DAD) and alcohol (AAD) abuse and dependency and criminal and clinical background by gender of prisoners in Sao Paulo, Brazil. Method: Cross-sectional study, random sample stratified by administrative district, from which prisons and prisoners were selected via random, multistage sampling. Psychiatric diagnoses were made with the CIDI 2.1. Lifetime prevalence and 95% CI were calculated and adjusted via analysis of complex samples. Multinomial logistic regression analysis was carried out with four categories of dependent variables: presence AAD; presence DAD; presence of another mental disorder; no mental disorders. For female alcohol and drug abuse and dependency (ADAD) were combined into a single category. Results: The sample was composed by 1809 interviewed prisoners (1192 men and 617 women). Prevalence of DAD and AAD was 25.2% and 15.6%, respectively, among female prisoners, and 26.5% and 18.5% among males. Male prisoners with DAD were more likely to have a criminal record as an adolescent (OR 2.17), to be a repeat offender (OR 2.85), and to have committed a property crime (OR 2.18). Prisoners with AAD were repeat offenders (OR 2.18). Among female prisoners, ADAD was associated with repeat offenses (OR 3.39), a criminal record as an adolescent (OR 9.24), a clinical or infectious condition (OR 5.09), another health problem (OR 3.04), and violent crime (OR 2.5). Conclusion: The study confirmed an association between drug-use disorders and the criminal and clinical background in the study population. Prisoners with such disorders were more likely to be repeat offenders and to have a criminal record as adolescents. Among female prisoners disorders were also associated with violent crime and health problems, while among males they were associated with property crime. These patterns in clinical and criminal backgrounds illustrate the need for social rehabilitation programs and specific medical treatment for prison populations. (AU)

• FAPESP's process: 11/04466-9 - Study of relationship between prevalence of mental disorders and criminal profile of a sample of the prison population of São Paulo
• Grantee: Maíra Mendes dos Santos
• Support Opportunities: Scholarships in Brazil - Master